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General NPI Number Information
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NPI Number | 1508974973
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Entity Type | Organization
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Legal Business Name | OAKLAND INTEGRATED HEALTHCARE NETWORK
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Dates
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Enumeration Date | 08/27/2006
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 1701 BALDWIN AVE SUITE 100
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City | PONTIAC
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State | MI
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Zip | 48340
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Country | US
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Telephone | 248-253-0521
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Fax | 248-253-0542
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Provider Business Mailing Address
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Address Line | 1701 BALDWIN AVE STE 100
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City | PONTIAC
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State | MI
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Zip | 48340-1168
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Country | US
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Telephone | 248-253-0521
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Fax | 248-253-0542
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | DR. ANTHONY JAY PLAS
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Credential | PHARM.D.
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Telephone | 248-253-0521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 5407550001
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5301008116
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License Number State | MI
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